20090248 Ver 1_Minor Variance_20090619

OFFICE USE ONLY: Date Received
Request it
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
2.
Variance Request Form - for Minor Variances
Protection and Maintenance of Riparian Areas Rules
NOTE. This form may be photocopied for use as an original.
Please identify which Riparian Area Protection Rule applies.
? Neuse River Basin: Nutrient Sensitive Waters Management Strategy
Protection and Maintenance of Riparian Areas Rule (15A NCAC .0233)
iif Tar-Pamlico River Basin: Nutrient Sensitive Waters Management
Strategy Protection and Maintenance of Riparian Areas Rule (15A
NCAC.0259)
Part 1: General Information
(Please include attachments if the room provided is insufficient.)
1. Applicant's name (the corporation, individual, etc. who owns the property):
R. PAT 99OWN
Print Owner/Signing Official (person legally responsible for the property and its compliance)
Name: N , PAS' 990o4
Title: 1JE?
Street address: Zola LEDW 3u2.6?H Dev
City, State, Zip:
Telephone: (919 467- q136
Fax:
3. Contact person who can answer questions about the proposed project:
Name: 8?, I I Po MA P. ico
Telephone: C%-q) 4Sl- 29 89
Fax: 9( t q)481- 241 0
Email: ?ill? yomnr??caca?vsreuc??a?l COM,
4. Project Name (Subdivision, facility, or establishment name - consistent with project name on
plans, specifications, letters, operation and maintenance agreements, etc.):
SRoWN RIJC-R Udrm- / G.E, SL?1 E-15 Q1tC,4ZSA1PeE L,61'S 15;4- 4F /6
5. Project Location:
Street address: 159
City, State, Zip:
County:
__ Latitude/longitude:
Version 1: February2000
6. Directions to site from nearest major intersection (Also, attach an 8'h x 11 copy of the USGS
topographic map indicating the location of the site):
4Wy 264 To 4wY q3 TgKhu.6y gA_r? TLjRN etc-OJT
0 BREEZY SHO 5, P.QAD , Go 1-0 END Lfff 6N 13AyUi Rp,
7. Stream to be impacted by the proposed activity:
Stream name (for unnamed streams label as "UT" to the nearest named stream):
PAMLICO RkVEI,
Stream classification [as identified within the Schedule of Classifications 15A NCAC 26
.0315 (Neuse) or.0316 (Tar-Pamlico)]: .0316
8. Which of the following permits/approvals will be required or have been received already for
this project?
Required: Received: Date received:

Permit Type:
CAMA Major
CAMA Minor
401 Certification/404 Permit
On-site Wastewater Permit
NPDES Permit (including stormwater)
Non-discharge Permit
Water Supply Watershed Variance
Others (specify)
Part 2: Proposed Activity
(Please include attachments if the room provided is insufficient.)
1
2. State reasons why this plan for the proposed activity cannot be practically accomplished,
reduced or reconfigured to better minimize or eliminate riicti irhnnea fn +ha ryn-mrio., h, tffor?-
3.
L2R.1;'? NK?fS ?oK ne?G)N7-Y(eAtCg kW&C RYGFFoCt?! WtLt'(3& MA® `1t7
Description of proposed activity [Also, please attach a map of sufficient detail (such as a plat
map or site plan) to accurately delineate the boundaries of the land to be utilized in carrying
out the activity, the location and dimension of any disturbance in the riparian buffers
associated with the activity, and the extent of riparian buffers on the land. Include the area
of buffer impact in ft2.:
Description of any best management practices to be used to control impacts associated with
the proposed activity (i.e., control of runoff from impervious surfaces to provide diffuse flow,
re-planting vegetation or enhancement of existing vegetation, etc.):
Nu G" aKt9roji7 5 «x-' Q<i nl ?Ai A A,%A 11-A/n<?+? 1 A/inn/ nD
- - --A Please provide an explanation of the following: - - -- - -- -- -- - -
(1) The practical difficulties or hardships that would result from the strict application of this
Rule.
(3) If economi ardshi the major consideration, then include a specific explanation of the
economic hard nd the proportion of the hardship to the entire value of the project.
'CNE PRO Pr-KIN , &C-) Nb ON TUC- P-t V,lf7e, . `N AS A LUAI 1 bUr:- 11,41-U E
Part 3: Deed Restrictions
By your signature in Part 5 of this application, you certify that all structural stormwater best
management practices required by this variance shall be located in recorded stormwater
easements, that the easements will run with the land, that the easements cannot be changed or
deleted without concurrence from the State, and that the easements will be recorded prior to the
sale of any lot.
Part 4: Agent Authorization
If you wish to designate submittal authority to another individual or firm so that they may provide
information on your behalf, please complete this section:
Designated agent (indi,
Mailing address:
City, State, Zip:
Telephone:
Fax:
Email:
Part 5: Applicant's Certification
1, (print or type name of person
listed in Part I, Item 2), certify that the information included on this permit application form is
correct, that the project will be constructed in conformance with the approved plans and that the
deed restrictions in accordance with Part 5 of this form will be recorded with all required permit
conditions.
(2) How these difficulties or hardships result from conditions that are unique to the property
involved.

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NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM, NCEEP
IN-LIEU FEE REQUEST FORM
Revised 12/16/2008
Print this form, fill in requested information, sign and date, and either mail to NCEEP, 1652 Mail Service Center, Raleigh, NC
27699-1652, fax to 919-715-2219, or email to [e-mail]. Attachments are acceptable for clarification
purposes (location map is required). Review meetings are held on Monday afternoons and decisions are provided within 2 weeks.
(Of.
9. Project Location (nearest town, city)
"ATTACH MAP SHOWING IMPACT LOCATION"
10. Lat-Long Coordinates (optional)
541",NL
11. Project County
12. River Basin
13. Cataloging Unit (8-digit) (see Note 1)
14. Riparian Wetland Impact (ac.) (e.g., 0.13)
?E.A(A f-ORT
`-AR- PArv\LlGo
03 o2co to+
15. Non-Riparian Wetland Impact (ac.)
E
16. Coastal Marsh Impact (ac.)
17. Stream Impact (ft.) (e.g. 1,234) Warm = Cool Cold
(See Note 2)
t
°_ I
18. Buffer Impact (sq. it) (e.g. 12,345) ' Zone 1: :Zone 2'
(See Note 3 I i
19. Regulatory Agency Staff Contacts
(Indicate names, if known) i
USACE: DWQ: k?[[ MOSS
20.Other Regulatory ID Information
(e.g., USACE Action ID, if known)
IMPORTANT
Check (?I) below if this request is a: Signature of Applicant or Agent:
_ revision to a current acceptance, or y
1 _ re-submission of an expired acceptance
extension of unexpired acceptance
Date:
Note 1: For help in determining the Cataloging Unit, visit., http:/Icfpub.ePa.gov/surf/locaterindex.cftn
Note 2: For guidance on stream temperatures, go to:
http:/twww.saw. usaoe.army.milANETLAN DS/Mitigation/Documents/Stream/Appendices/Appendixl. pdf
Note 3: Buffer mitigation applicable only in the Neuse, Tar-Pamlico and Catawba river basins, and the Randleman Lake Water
Supply Watershed.
Direct questions to Valerie Mitchener at 919-715-1973 or [e-mail] or Kelly Williams at 919-716-1921 or
kelly.williams cOncmail.net
PROJECT INFORMATION
8. Project Name B(zov 1 r-i R'vu *

,,r--?--? Environmental Health Section
Beaufort County Health Department New Coastructioa
220 N. Market St. ® Repair
Washington, North Carolina 27889
?- fl fi.MAddition
[phone] / Fax [phone]
Improvements Permit
A Building Permit cannot be issued with only an Improvement Permit COPY
`Improvements permit is valid for five years frmn the date of issue.
per H. Pat Brown pie: [phone]
Address: 206 Edinburgh Dr. Cary, NC 27511
Subdivision: Rivershore Lot Number 15 & 16
State Road Number. 1746 Directions: 264 E. to 92 E. UR on Breezy Shores,
then tIL on Sayview, site is on the right to-DIGIT P1N 6652-42-107411025
Property Size: 0.32 ac Type Structure: Howse
Design Flow: 480 No, Bedroorns 4 No. people: g
Water Supply: ® Public ( Private (Maintainminitnum 10 feasepamdon
From air pan of septic system and repair area)
Classification: ? suitable 0 Provisionallysuiubte ? PSvoffilal
Additional Drainage: crown system area to shed surface water
Seasonal Wetness Condition: 36" Soil Type t 111 System Type Ill g
Septic Tank: 1.000 gal, Pump Tank: 1•000 gat.
Pump Required: 6 Yes ? No Q waybenquieaband ulmfiawloaoooae>c.adonor"
Nitrification Field: 450 square feet trench bottom
Trench Depth: 18" Fill Depth: NIA
Comments: -set 1,000 gat. septic tank and install 3 fines t3' x 50') alternative
trench for initial and 3 lines (3'x 50') alternative trench for repair;
"25% Reduction Has Already Been Taken On Both System Areas'
SEE ATTACHMENT
AUTHORIZATION TO CONSTRUCT
WILL BE ISSUED UPON :
APPROVAL OF FINAL SITE PLAN
BY B.C.H.D,
-COMPLETION & APPROVAL OF
PROPER WELL ABANDONMENT
The issuRa
raiaB ct bodies is mcedft their Of this Perattit by (be Health Dept. ih ao way guarantees the issuance of other pertnitL The permit bolder is responsible for chethiog with appropriate
rcgeivensesm This permit is subject to revocation ifthe site plan, plat, or the intended use cbmssor site altesationt occur. The
tmprovemcm Permit shall not be affected b a c '
hater is ownership of the site. This permit is subject to compliance with the provisions of the Laws and Rules for Sewage
Treatment and Disposal and to conditions ofthis permit:
Additional for all systems: Landscape system area for surface water runoff and grass. Do not place drive or any building over the system area or repair area. Observe all proper
setbacks (15A NC.4C 18A.1950). Do not work soil or install is wet coed" '
its, This permit must be on site during installation and inspection.
Authorized State AQenr. .- . . .?
---Z ]:....
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Owner-H. Pat Brown
Owner Address206 Edinburgh Dr.
Owner Address(2):Cary, NC 27511
Owner Phone #:[phone]
Property Address:Bayview-,,it
Property Address(2):Lot # 15 & 16
PIN:6652-42-1074
--_.? Record # ..
Establishment Type:Home
Type of WeU:Public Well
Design Flow (GPD):480
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30.00 feet
1:360
yoQs4,?-
LET
&7S
476
Wastewater System:Chambered System
Long Term Acceptance Rate(GPD/SQF7-):0.8
jMnch Width:3 FT

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Authorized Agent: , Date 2009-01--1
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5 Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
,A` ?NL i78S?
A S' re
'? ----- ? Agent
? Addressee
B. Received by (Printed Name) C. Da a of Delivery
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
? Certified Mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
1 4. Restricted Delivery? (Extra Fee) ? Yes
!. Article Number 7008 2 810 0002 1151 8190
(Transfer from service label)
'S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
I Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Print your name and address on the reverse
so that we can return the card to you.
Attach this cans to the back of the mailpiece,
or on the front if space permits.
4rticle Addressed to:
2 7/? y
A. Signature
X ? Agent
? Addressee
is
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ? Yes
If YES, enter delivery address below: ? No
3. Service Type
? Certified mail ? Express Mail
? Registered ? Return Receipt for Merchandise
? Insured Mail ? C.O.D.
4. Restricted Delivery? (Extra Fee) ? Yes
! Article Number
(Transfer from sennce /a 7008 2 810 0002 1151 818 3
'S Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540
1--
Ea elnt
PROGRAM
February 26, 2009
Pat Brown
206 Edinburgh, Dr.
Cary, NC 27511
Expiration of Acceptance. November 26, 2009
Project: Brown River Home County. Beaufort
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for impacts associated with the above referenced project. Please note that this decision does not assure that the payment will
be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the applicant to contact these
agencies to terrnine if payment to the NCEEP will be approved. UM.'UL.gacomo twill aIl otll:stb :dal a`laaal
This acceptance is valid for nine months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit/401 Certification/CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the following
table.
River CU Stream (feet) Wetlands (acres) Buffer I Buffer II
Basin Location (Sq. Ft.) (Sq. Ft.)
Cold Cool Warm Rimian Nom 'an Coastal Marsh
Impact Tar- 03020104 0 0 0 0 0 0 0 1160
Pamlico
Credits Tar- 03020104 0 0 0 0 0 0 0 "
Pamlico F
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. If the regulatory agencies require
mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible for the additional mitigation, the
applicant will need to submit a mitigation request to NCEEP for approval prior to permit issuance. The mitigation will be performed
in accordance with the Memorandum of Understanding between the N.C. Department of Environment and Natural Resources and the
U.S. Army Corps of Engineers dated November 4, 1998.
If you have any questions or need additional information, please contact Valerie Mitchener at [phone].
Sincerely,
Willia . Gilmore, PE
Director
cc: Cyndi Karoly, NCDWQ Wetlands/401 Unit
Tracy Wheeler, USACE-Washington
Kyle Barnes, NCDWQ-Washington
Bill Pomarico, agent
File
Pro" Ourma&
864u V'41_

North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 1 www.nceep.net

Excise Tax I Recording Time, Book and Page
Tax Lot No.. ......................................................................................... Parcel Identifier No............................................,..................
Verified by ........................................................................ County on the ................ day of ........................................................, 19
by ...............................................................................................................................................................................................................
Mail after recording to .......JAMES L. BULLOCK, P.A., P. 0. Box 7151, Greenville, NC 27835
........................................................................................................................................................................
.............................................................................................................................................................................................................................
This instrument was prepared by ..........>I E$.. LEON.,.BULLOCK.,,..ES.Q.,.,...Gxe.eny.j .7 J tr....... C...... 2.7.,834 ..........................................
Brief description for the Index Lots 15 & 16, Breezy Shores
NORTH CAROLINA GENERAL.WARRANTY DEED
THIS DEED made this ................ day of ......... AuBus.t............... ................... .., 19...87....., by and between
GRANTOR
DOROTHY L. SIMMONS, Widow
of Pitt County, North Carolina
GRANTEE
HOWARD PATRICK BROWN and wife,
SUE WEBSTER BROWN
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.q. corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and
shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSAITH, thntu the Grunter, f, valuable considerati^n paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, r it that
certain lot or parcel of land situated in the City of ..........N/A . _....,,, ,,.,,.,,Bath Township,
.....,,,,,,,,,,,,,,,, County, North Carolina and more particularly described as follows:
Those two certain lots of land in Bath ToG.-nship, Beaufort County, North Carolina,
on the Pamlico River and being Lots 15 and 16 of G. E. Slade's "Breezy Shores"
Development, according to map thereof recorded in the Office of the Register
of Deeds of Beaufort County in Map Book 5 at Page 78, to which reference
is herein made and incorporated for a more complete and detailed description.
/2I' S
/3 Y, a

N. C. Uar Assoc. Form No. 3 (cc) 1976, Revised © 1977 -- .lames winiams a Co., 1nc., Box 127, Yadkinyilla, N C.27055
Printed by Agreement wilh the N. C. Bw Assoc. - 1981

The property hereinabove described was acquired by Grantor by instrument recorded in ..............................................................
Book 666, Page 280 of the Beaufort County Registry.
.....................................................................................................................................................................................................................................
A mal• showing the above described property is recorded in Plat Book .............5...................... page..... 78................
TO H.VE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to
the Gc ntee in fee simple.
And .1-:e Grantor covenants with' the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey
the .,ar.le in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and
defenc the title against the lawful claims of all persons whomsoever except for the exceptions hereinafter stated.
Title `o the property hereinabove described is subject to the following exceptions:
1. 1987 Ad Valorem Taxes
2. l;asements, restrictions and rights of ways of others of record;
IN WITNESS WHEREOF, the Grantor has hereunto set his hand and seal, or if corporate, has caused this instrument to be signed in its
corporate name by its duly authorized officers and its seal to be hereunto affixed by authority of its Board of Directors, Abe day and year first
above written.
-------------------------------------'------------------------- j------------------------------ lSEAL)
(Corporate Name) 4DiOROTHY L MM NS
O
By: ----------------------------------------------------------- -------(SEAL)
----------------------------President
r-i
ATTEST: U
- -`---------------------------------------------------------(SEAL)
a
---------------------------------------------------------------
-______..____________________Secretary (Corporate Seal) V
;_? -------------------------------------------------------------- (SEAL)
SEAL-STAMP NORTH CAROLINA, -------- Pitt -------------------- County.
I, a Notary Public of the County and State aforesaid, certify that __-___-____________________________-______
•" DOROTHY L. SIMMONS
------------------------------- Grantor,
x ---------------------------------------------------------------------
U
personally ap)Seaxed before me th1.s day and acknowledged the execution of the foregoing instrument, lViLness my
-. m
p hand and official stamp or seal, this ____-_ All 9.m 9-t
My commission expires: _-__Jw ?9_ ? i!---------- otary Public
REMcC -
SEAL-STAMP NORTH CAROLINA, ----------------------------------- County.
I, a Notary Public of the County and State aforesaid, certify that
personally came before me this day and acknowledged that ____ he is ___________________________ Secretary of
4
------------------------------------------------------- a North Carolina corporation, and that by authority duly
U
given and as the act of the corporation, the foregoing instrument was signed in its name by its ---------------
President, sealed with its corporate seal and attested by _____ as its____________________________ Secretary.
Witness my hand and official stamp or seal, this ------- day of __________________________, 19_-___--_.
My commission expires: ----------------------------------------------------------------------- Notary Public
The foregoing Certificate(s) of DENISE MARK- UcCOY.
----------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------
is/are certified to be correct. This instrument and this certificate are ?u:y registered at; the date and time and in the Rook and Page shown on the
first page hereof.
--------------------------------------------------------------------.._-REGISTER OF DEEDS' FOR----------- BEAUFORT------------- COUNTY
By --------------------------- __-___________________------..--Deputy/Assistant-Register of Deeds
N. C. liar Assoc. Form No^3 J 1976. Revised n 1977 - Hamm tvulia- & Cc., inc., Br. 127. ve,. du, N. Q 27oB5